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Patient Forms

 
717-263-2451

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.

Patient Forms

Financial Policy

Consent for Previous Dentist to Release Records

Hipaa Consent

Healthy Smiles

What does your smile say about you? Let us help you radiate confidence with a healthy smile.

Testimonials